Turkiye Klinikleri Obstetric-Women's Health and Diseases Nursing - Special Topics

İnfertilite Hemşireliği Özel Sayısı
.: ORIGINAL RESEARCH
İnfertilite Tedavileri Sonrası Gebe Kalan Kadınların Yaşam Kalitesi ve Depresyon Durumlarının İncelenmesi
Assessment of Quality of Life and Depression Status of Women Who Got Pregnant After Infertility Treatment
İlkay ÇAVUŞOĞLUa, Nezihe KIZILKAYA BEJİb
aTüp Bebek Merkezi, Acıbadem Maslak Hastanesi
bHemşirelik Bölümü Doğum, Kadın Sağlığı ve Hastalıkları Hemşireliği AD, Biruni Üniversitesi Sağlık Bilimleri Fakültesi, İstanbul
Turkiye Klinikleri J Obstet Womens Health Dis Nurs-Special Topics. 2016;2(3):77-84
Article Language: TR
ÖZET
 Amaç: Bu çalışma, infertilite tedavileri sonrası gebe kalan kadınların yaşam kaliteleri ve depresyon durumlarını değerlendirmek ve spontan gebe kalan kadınlarla karşılaştırıldığında aralarında fark olup olmadığını belirlemek amacıyla kesitsel tipte, karşılaştırmalı ve tanımlayıcı olarak gerçekleştirilmiştir. Gereç ve Yöntemler: Özel bir hastanenin Ekim 2013-Şubat 2014 tarihleri arasında çalışmaya katılmayı kabul eden, İnfertilite ve Kadın Doğum Kliniği'nde takip olan gebelerle gerçekleştirildi. Tedavi sonrası gebe kalan kadın grubuna 100, spontan gebe kalan kadın grubuna 90 gebe alındı. Verilerin toplanmasında Sosyo-Demografik Özellikler Formu, SF 36 Yaşam Kalitesi Ölçeği ve Epidemiyolojik Araştırmalar Merkezi Depresyon Skalası (EAMDS) kullanıldı. Bulgular: İnfertilite tedavisi sonrası gebe kalan kadınların yaşam kalitesi; mental sağlık, fiziksel fonksiyon ve fiziksel rol alt boyutlarında daha olumsuz etkilenmişti (p<0,005). Diğer alt boyut puan ortalamaları açısından fark bulunamadı (p>0,005). 2. ICSI uygulamasında gebe kalan kadınların; 1. ve 3. uygulamada gebe kalan kadınlara göre EAMDS toplam puanının daha yüksek olduğu (p<0,05) ve çiftlerin her ikisine bağlı nedenden dolayı infertilite sorunu yaşayan kadınların daha fazla depresif semptomlarının olduğu bulundu (p<0,05). Tedavi sonrası gebe kalan kadınların spontan gebe kalan kadınlardan bir yıl öncesine göre sağlıklarını daha iyi hissettikleri (χ2=6,56, p<0,005) ve doktoru daha sık görme isteğine sahip olduğu belirlendi (χ2=65,35, p<0,005). Sonuç: İnfertilite tedavisi sonrası gebe kalan kadınların yaşam kalitesinin olumsuz etkilendiği, 2. ICSI uygulamasında gebe kalan ve infertilite nedeni çiftlerin her ikisinde
olan kadınların daha fazla depresif semptomlarının olduğu bulundu.

Anahtar Kelimeler: Gebelikte depresyon; infertilite ve hemşirelik; yaşam kalitesi
ABSTRACT
 Objective: The purpose of this research is to evaluate the quality of life and depression status of women who got pregnant after infertility treatment comparing to women who got pregnant spontaneously. This research is a cross-sectional, comparative and descriptive study. Material and Methods: The study was performed on the pregnant women who had accepted to participate to the study and followed in Infertility and Maternity Clinic of a private hospital between October 2013 and February 2014. A hundred women was selected to the group of women got pregnant after treatment and 90 women were selected for the spontaneous pregnancy group. Socio-Demographical Characteristics Form and MOS 36 Item Short Form Health Survey and Center for Epidemiologic Studies Depression Scale (EAMDS) were used for data collection. Results: Quality of life of the pregnant women who got pregnant after infertility treatment were affected negatively in terms of mental health, physical function and physical role sub-dimensions (p<0.005). No difference was found regarding to other sub-dimensional score averages. (p>0.005). EAMDS score of the women who got pregnant after 2nd ICSI trial in infertility treatment was found higher than the ones who got pregnant after 1st and 3rd ICSI trials (p<0.05). In addition to this, EAMDS total scores were higher for the women who had infertility problems as a couple (p<0.05). It was specified that women who got pregnant after treatment felt better (χ2=6.56, p< 0.005) and they wanted to visit the doctor more frequently (χ2=65.35, p< 0.005) when compared to the previous year. Conclusion: As a result, it was concluded that the quality of the women who got pregnant after infertility treatment has affected negatively. Also for the women who got pregnant after 2nd ICSI trial and the ones having infertility problems derived from both of the couples had more depressive symptoms.

Keywords: Depression in pregnancy; infertility and nursing; quality of life

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